间质性肺疾病:从诊断到创新治疗的综述

Carlotta Bertolina, Marinella Bertolotti, Marianna Farotto, Fabio Giacchero, Silvia Ravera, Mario Salio, Mercedes Pasquali, Antonio Maconi
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摘要

间质性肺疾病(ILDs)包括200多种病理疾病,其特征是呼吸道炎症和/或纤维化模式。近年来,对其发病机制的理解取得了重大进展,在治疗领域和改善临床结果方面取得了长足的进展。COVID-19大流行也对间质性疾病的病程产生了重要影响,特别是在有症状和无症状的患者以及感染前已有间质性疾病的患者感染后发生的病程。本综述的目的是描述一些最常见的间质性肺疾病的临床、放射学和治疗特征,以及多学科诊断程序,这些程序是越来越准确诊断的基础。
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A review on Interstitial Lung Diseases: an overview from diagnosis to innovative therapies
Interstitial Lung Diseases (ILDs) enclose a wide heterogeneous group of more than 200 pathological disorders, which are characterized by an inflammatory and/or fibrotic pattern in the respiratory tract. In recent years, significant developments in the understanding of their pathogenesis have led to considerable progress in the therapeutic field and in improving clinical outcomes. COVID-19 pandemic has also had an important impact on the course of interstitial disease, particularly that which developed following infection in both symptomatic and asymptomatic patients, as well as in patients with pre-existing interstitial disease prior to infection. The purpose of this review is to describe clinical, radiological and therapeutic features of some of the most common interstitial lung diseases, as well as the multidisciplinary diagnostic procedure that underlies an increasingly accurate diagnosis.
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